NURS 6512N ADVANCED HEALTH ASSESSMENT
&DIAGNOSTIC REASONING LATEST EXAM 2024/ 2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ALREADY
GRADED A++
Decreased sensation to monofilament testing in the feet of a patient with
diabetes may indicate an increased risk of which complication? - ANSWER
Skin ulcers
Where is the dermatome that corresponds to the C6 nerve root? -
ANSWER In the thumb and 1st web space
Where is the dermatome that corresponds approximately to the T10 nerve
root? - ANSWER At the level of the umbilicus
Which is TRUE regarding Hoffman's maneuver? - ANSWER It indicates
upper motor neuron involvement.
What is a positive Lhermitte's sign? - ANSWER It involves flexion of the
neck causing an "electric-like" sensation that runs down the back.
What physical exam finding is indicative of a cervical nerve root
radiculopathy? - ANSWER Positive foraminal compression test
What type of headache might present with a "thunderclap" intense onset of
pain? - ANSWER Headache due to a subarachnoid hemorrhage
What type of headache is often associated with symptoms of nausea,
photophobia, and phonophobia - ANSWER Migraine headache
Which cranial nerve (CN) affects the sensory as well as the motor function
of the face? - ANSWER trigeminal nerve
What cranial nerve (CN) palsy leads to the eye not being able to move
laterally on exam? - ANSWER CN VI: abducens nerve
Which three cranial nerves control ocular movements? - ANSWER III, IV,
and VI
,How do you test for an afferent pupillary defect on a physical examination?
- ANSWER Using the swinging flashlight test
What is a Snellen chart used for during a cranial nerve examination? -
ANSWER To test visual acuity
Which cranial nerve (CN) do the Weber and Rinne tests evaluate? -
ANSWER CN VIII: cochlear nerve
Which cranial nerves (CN) are tested by asking the patient to elevate their
palate by saying "AH?" - ANSWER CN X: vagus nerve and CN IX:
glossopharyngeal nerve
Which cranial nerve (CN) is tested by asking the patient to turn their head
against resistance? - ANSWER CN XI: accessory nerve
Which cranial nerve (CN) is tested by asking the patient to move their
tongue from side to side? - ANSWER CN XII: hypoglossal nerve
Which condition most commonly causes sacroiliitis or pain in the sacroiliac
joints? - ANSWER Ankylosing spondylitis
Pain and tenderness over the lateral hip are most commonly seen in which
condition? - ANSWER Trochanteric bursitis
Pain and burning in the anterior and lateral thigh are usually due to what
condition? - ANSWER Meralgia paresthetica
Piriformis syndrome can mimic what other condition? - ANSWER Sciatica
Osteoarthritis of the hip produces pain most commonly with which
maneuver? - ANSWER Internal rotation of the hip joint
What area is tender with iliopsoas bursitis? - ANSWER Tenderness is
elicited over the inguinal ligament.
Which cause of shortness of breath is primarily due to a pulmonary
etiology? - ANSWER Pneumothorax
,Which statement demonstrates the correct path of cardiac blood flow? -
ANSWER Blood flows from the left atrium to the left ventricle through the
mitral valve.
What is TRUE regarding abdominojugular reflux? - ANSWER
Abdominojugular reflux is due to an increased inflow of blood from the
abdominal veins into the right atrium.
The venous pulse found on physical exam of the neck is... - ANSWER
...biphasic, easily obliterated by light pressure, and increased in the supine
position.
What is TRUE regarding the arterial pulses in the lower extremities? -
ANSWER The posterior tibial pulse is located behind the medial malleolus
of the ankle.
A patient with viral pericarditis- ANSWER ...is most comfortable sitting
upright and forward.
What are the components of Beck's triad? - ANSWER Muffled heart
sounds, HYPOtension, and Kussmaul's sign
What are splinter hemorrhages seen with bacterial endocarditis? -
ANSWER Microthrombi in the nail bed
What sign is seen in a patient with respiratory distress? - ANSWER Cannot
speak in full sentences without needing to take a breath
What is the "tripod" position seen in a patient with respiratory distress? -
ANSWER The patient sits or stands leaning forward and supports the
upper body with their hands on the knees.
Which description indicates a patient with cyanosis? - ANSWER A patient
with bluish discoloration of the skin or mucous membranes under the
tongue
What is TRUE regarding bronchial breath sounds? - ANSWER They
indicate an obstructive process, such as malignancy or infection, if heard in
the peripheral lung fields.
, Emphysema can be described as...? - ANSWER ...the destruction of a
portion of the airway distal to the terminal bronchiole.
Which statement regarding bulla or bleb is FALSE? - ANSWER Bleb is
usually subpleural.
What is TRUE regarding abdominojugular reflux? - ANSWER
Abdominojugular reflux is due to an increased inflow of blood from the
abdominal veins into the right atrium.
The venous pulse found on physical exam of the neck is... - ANSWER
...biphasic, easily obliterated by light pressure, and increased in the supine
position.
What is TRUE regarding the arterial pulses in the lower extremities? -
ANSWER The posterior tibial pulse is located behind the medial malleolus
of the ankle.
A patient with viral pericarditis... - ANSWER ...is most comfortable sitting
upright and forward.
What are the components of Beck's triad? - ANSWER Muffled heart
sounds, HYPOtension, and Kussmaul's sign
What are splinter hemorrhages seen with bacterial endocarditis? -
ANSWER Microthrombi in the nail bed
Which of the following is NOT a radiographic finding of hyperinflation? -
ANSWER Visualization of a thin pleural line
Which type of emphysema destroys the alveolar ducts and sacs? -
ANSWER Paraseptal
Which statement regarding pleural effusion is CORRECT? - ANSWER It
can be a direct extension from the peritoneum.
The carina is an important landmark because...? - ANSWER ...it helps us to
evaluate the positioning of lines and tubes.
&DIAGNOSTIC REASONING LATEST EXAM 2024/ 2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ALREADY
GRADED A++
Decreased sensation to monofilament testing in the feet of a patient with
diabetes may indicate an increased risk of which complication? - ANSWER
Skin ulcers
Where is the dermatome that corresponds to the C6 nerve root? -
ANSWER In the thumb and 1st web space
Where is the dermatome that corresponds approximately to the T10 nerve
root? - ANSWER At the level of the umbilicus
Which is TRUE regarding Hoffman's maneuver? - ANSWER It indicates
upper motor neuron involvement.
What is a positive Lhermitte's sign? - ANSWER It involves flexion of the
neck causing an "electric-like" sensation that runs down the back.
What physical exam finding is indicative of a cervical nerve root
radiculopathy? - ANSWER Positive foraminal compression test
What type of headache might present with a "thunderclap" intense onset of
pain? - ANSWER Headache due to a subarachnoid hemorrhage
What type of headache is often associated with symptoms of nausea,
photophobia, and phonophobia - ANSWER Migraine headache
Which cranial nerve (CN) affects the sensory as well as the motor function
of the face? - ANSWER trigeminal nerve
What cranial nerve (CN) palsy leads to the eye not being able to move
laterally on exam? - ANSWER CN VI: abducens nerve
Which three cranial nerves control ocular movements? - ANSWER III, IV,
and VI
,How do you test for an afferent pupillary defect on a physical examination?
- ANSWER Using the swinging flashlight test
What is a Snellen chart used for during a cranial nerve examination? -
ANSWER To test visual acuity
Which cranial nerve (CN) do the Weber and Rinne tests evaluate? -
ANSWER CN VIII: cochlear nerve
Which cranial nerves (CN) are tested by asking the patient to elevate their
palate by saying "AH?" - ANSWER CN X: vagus nerve and CN IX:
glossopharyngeal nerve
Which cranial nerve (CN) is tested by asking the patient to turn their head
against resistance? - ANSWER CN XI: accessory nerve
Which cranial nerve (CN) is tested by asking the patient to move their
tongue from side to side? - ANSWER CN XII: hypoglossal nerve
Which condition most commonly causes sacroiliitis or pain in the sacroiliac
joints? - ANSWER Ankylosing spondylitis
Pain and tenderness over the lateral hip are most commonly seen in which
condition? - ANSWER Trochanteric bursitis
Pain and burning in the anterior and lateral thigh are usually due to what
condition? - ANSWER Meralgia paresthetica
Piriformis syndrome can mimic what other condition? - ANSWER Sciatica
Osteoarthritis of the hip produces pain most commonly with which
maneuver? - ANSWER Internal rotation of the hip joint
What area is tender with iliopsoas bursitis? - ANSWER Tenderness is
elicited over the inguinal ligament.
Which cause of shortness of breath is primarily due to a pulmonary
etiology? - ANSWER Pneumothorax
,Which statement demonstrates the correct path of cardiac blood flow? -
ANSWER Blood flows from the left atrium to the left ventricle through the
mitral valve.
What is TRUE regarding abdominojugular reflux? - ANSWER
Abdominojugular reflux is due to an increased inflow of blood from the
abdominal veins into the right atrium.
The venous pulse found on physical exam of the neck is... - ANSWER
...biphasic, easily obliterated by light pressure, and increased in the supine
position.
What is TRUE regarding the arterial pulses in the lower extremities? -
ANSWER The posterior tibial pulse is located behind the medial malleolus
of the ankle.
A patient with viral pericarditis- ANSWER ...is most comfortable sitting
upright and forward.
What are the components of Beck's triad? - ANSWER Muffled heart
sounds, HYPOtension, and Kussmaul's sign
What are splinter hemorrhages seen with bacterial endocarditis? -
ANSWER Microthrombi in the nail bed
What sign is seen in a patient with respiratory distress? - ANSWER Cannot
speak in full sentences without needing to take a breath
What is the "tripod" position seen in a patient with respiratory distress? -
ANSWER The patient sits or stands leaning forward and supports the
upper body with their hands on the knees.
Which description indicates a patient with cyanosis? - ANSWER A patient
with bluish discoloration of the skin or mucous membranes under the
tongue
What is TRUE regarding bronchial breath sounds? - ANSWER They
indicate an obstructive process, such as malignancy or infection, if heard in
the peripheral lung fields.
, Emphysema can be described as...? - ANSWER ...the destruction of a
portion of the airway distal to the terminal bronchiole.
Which statement regarding bulla or bleb is FALSE? - ANSWER Bleb is
usually subpleural.
What is TRUE regarding abdominojugular reflux? - ANSWER
Abdominojugular reflux is due to an increased inflow of blood from the
abdominal veins into the right atrium.
The venous pulse found on physical exam of the neck is... - ANSWER
...biphasic, easily obliterated by light pressure, and increased in the supine
position.
What is TRUE regarding the arterial pulses in the lower extremities? -
ANSWER The posterior tibial pulse is located behind the medial malleolus
of the ankle.
A patient with viral pericarditis... - ANSWER ...is most comfortable sitting
upright and forward.
What are the components of Beck's triad? - ANSWER Muffled heart
sounds, HYPOtension, and Kussmaul's sign
What are splinter hemorrhages seen with bacterial endocarditis? -
ANSWER Microthrombi in the nail bed
Which of the following is NOT a radiographic finding of hyperinflation? -
ANSWER Visualization of a thin pleural line
Which type of emphysema destroys the alveolar ducts and sacs? -
ANSWER Paraseptal
Which statement regarding pleural effusion is CORRECT? - ANSWER It
can be a direct extension from the peritoneum.
The carina is an important landmark because...? - ANSWER ...it helps us to
evaluate the positioning of lines and tubes.
